HomeMy WebLinkAboutAPPLICATION WeglarekP�LICRLE INFO MUST-8-rCOV17TED F0�2 A� T C F •
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Date: Permit Number:
BuiII;g R it'g'pp Iica ion
Planning and Development Services
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Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578%jCo cial X
%ISld1%ial _
PERMIT APPLICATION FOR: Window/door
t .
�. D a , RR4 Efk 1 T .4CABON:
9550 S OCEAN DR 1003 JENSEN BEACH, FL 34957
Legal Description: ISLANDIA I CONDOMINIUM UNIT 1003 (OR 3959-2837)0
rt Tax ID #: 4502-601-0087-000-1 Lot No.
leie a ame:oc o.
Project Name: Weglareko _
Setbacks Front— Back: —Right Sideeft Side.
DETAILED DESCRIPTION OF WORK:
Replace 2 sliding glass doors with 2 hurricane impact sliding glass doors; and install fixed glass
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CONSTRUCTION INFORMATION:
Additional work to be pertormed under tis permit — check all a p p TT. •
F*HVAC Gas Tank Pi ing Shutters Windows/Doors=J
IMIGas _
•[IEI Plumbing *Sprin• EI Gen Roo • • Roof pitcl
40
Torjq. J o�C0 cl `n: _S . Ft• t FID�
19,895
Cost of Construction: Utilities: Sewer Septic Building Height: _
:OWNER/LESSEE:
CONTRACTOR:
Name Theodore J Weglarek
Name: Janet Milici
9dPess: 9550 S Ocean DR Apt 1003
C% any: Natural Flow, Inc.
Addre - 391 NE Baker Rd.
Citip Jensen Beach State: FL
CitpStuart State: FL
Zip Code: 34957 Fax:
Phone No. 847-875-6500 • �_
Zip Code: 34994 Fax: 772-334-1078
E-Mail: Firemedic3473@yahoo.com
Phone No. 772-334-1011
Fill in fee simple Title Holder on next page I if different
E-Mail: Janet@naturalflow.net
State or Count License: SCC 131151263
from the Owner listed above •
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If value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
DESIG ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable•
Name. Name: Janet maid
Address: Address:
City: • City: Stuart State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 391 IE Baker Rd. Address:
City: • City:
Zip: Phone: Zip: Pow:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may appl,.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the wor'.
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.* • 0
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The following building permit applications are exempt from undergoing a full concurrency reviewe room additions, _
accessory structures, swimming pools, fences, Us, signs, sc�ro or s�o anotheoniesi�al e
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice fo
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsit
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencemen �-
Signat a of O er/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA•,y��
COUNTY OF • • �' �l I •
Th•for� in'sfr en wasaccno: geLdCbefo=—
this �1 day of h� 20_ by
Sim •W'kr-•r"',1 ,•
_ Name of person making statement
Personally Known 9� OR Produced Ident cation
Type of Identification • • •
�roduced
fv�!tj)�i
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(Signature of: to bl�i(c- tate of Florida )
Commission No., �(Se&ry Public State of Flo
- 2 Donna Jayne Hall
My Commission GG 2075
Expires 04/15/2022
REVIEWS'
DATE
RECEIVED -
DATE
COMPLETE
Rev.8/2/17
1 •/•
Of
STATE OF FLORIDA
COUNTY OF MAP--rI K3
•
The forgoing instrument was acknowledged before me •
this 17a day of �>�r►'))Je(- 202-0 by
Name of person making statement Pe��
ly Known k�.OR Produced Idetifiira io�
Type of Identification
Produced
(Signature of Nota u ic- S ate of Florida )
�Coissicin No
ollil�� Notary Public State of Floritla
Donna Jayne Hall
My Commission GG 207585
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